A client has joined a fitness club and is working with the nurse to design a program for weight reduction and increased muscle tone. The client has tried exercise in the past with success, but has not been participating in a program for some time
In order to assess the potential for success with this client, the nurse should evaluate which of the behavior-specific cognitions?
1. Interpersonal influences
2. Perceived benefits of action
3. Situational influences
4. Perceived self-efficacy
Correct Answer: 2
Rationale 1: Interpersonal influences are a person's perceptions concerning the behaviors, beliefs, or attitudes of others—including family, peers, and health professionals—who can influence their success.
Rationale 2: Behavior-specific cognitions and affect are considered to be of major motivational significance for acquiring and maintaining health-promoting behaviors. Perceived benefits of action affect the person's plan to participate in health-promoting behaviors and may facilitate continued practice. If this client has prior positive experience with the behavior or observations of others engaged in the behavior, he or she may be motivated to success.
Rationale 3: Situational influences are direct and indirect influences on health-promoting behaviors and include perceptions of options, demand characteristics, and the aesthetic features of the environment.
Rationale 4: Perceived self-efficacy refers to the conviction that a person can successfully carry out the behavior necessary to achieve a desired outcome.
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